四部門發文開展按病種付費試點 滬5家醫院入圍首批試點

2019/6/12 9:06:16

作者:勞動報記者李蓓

      國家醫保局、財政部、國家衛健委、國家中醫藥局近日發布《關于印發按疾病診斷相關分組付費國家試點城市名單的通知》,確定京津滬等全國30個城市為國家試點城市。據悉,上海瑞金、仁濟等5家醫院已被確定進行首批試點。

      什么是“按病種”付費?這是一種按照疾病進行診療費用“打包”的支付方式,根據病人的年齡、性別、住院天數、臨床診斷、病癥、手術、疾病嚴重程度、合并癥與并發癥及轉歸等因素把病人分入診斷相關組,然后決定醫保支付。也即,過去開闌尾炎按抽血、CT、手術分項計費,以后就是按疾病打包費用,醫保支付方式從“按項目付費”轉變為“按病種付費”。目前,這是國際上最通用的合理節省病人和醫保支出的有效辦法。

      中國社科院公共政策研究中心副主任王震表示,改革對醫保支付方來說,并非簡單把費用砍下來,而是通過對成本的關注,提高醫療資源的使用效率,減少不該支出的錢。

      個人能否因此省錢?目前來看,可能感受度不會很高。專家表示,總體上看,醫保從源頭上控制了總額,患者實際上是省了錢的,但是因為這是在醫院后臺操作,個人感受不明顯。

      據悉,京滬已形成各自按病種組合相關分類付費版本。上海實施的是按照實際付費進行組合分類,如藥品費用、檢查費用等。

华彩彩票 www.681122.com | www.003hy.cc | www.0014o.com | www.04czj.com | www.960206.com | www.757988.com | www.609713.com | www.588730.com | www.374277.com | www.439863.com | www.729019.com | www.627868.com | www.602434.com | www.587335.com | www.897030.com | www.743966.com | www.567306.com | www.602450.com | www.330831.com | www.66332v.com | 142788.com | 23231381.com | 6033l.com | 22995144.com | 54146688.com | 1005766.com | www.857558.com | www.7025s.com | www.amxhtd11.com | www.665345.com | www.034044.com | www.C6371.COM | www.cn365k.com | www.07679c.com | www.4428229.com | www.84499z.com | www.66ffa.com | www.717772.com | www.926013.com | www.502135.com | q72227.com | 7935z.com | 06386363.com | x33g.vip | www.ab218.com | www.z0151.com | www.keebin.com | www.k32939.com | www.9961331.com | www.506201.com | www.83993k.com | www.5cpb.com | www.209213.com | 91709.com | 0989.com | 4486699.com | 4774j.com | www.v15502.com | www.990707.com | www.1851137.com | www.115966.com | www.qbwc4.com | www.195880.com | 36400055.com | 554694.com | 7744hhh.com | www.www8181msc.com | www.9068nn.com | www.0032737.com | www.8003xl.com | www.2632g.com | www.354277.com | 3822u.com | 287722.com | hd6766.com | www.hy688.com | www.14988.com | www.4196o.com | www.99788l.com | www.cf9908.com | www.50732a.com | dzhcpw.com | 5856ff.com | 0069.com | www.yh111222.com | www.pj9001.com | www.506902.com | www.12455n.com | www.303766.com | sqrc8.com | 8538a.com | www.00048js.com | www.vns7312.com | www.6608598.com | www.83033r.com | www.384918.com | 228888s.com | u82365.com | www.7435e.com | www.8568899.com | www.681125.com | www.qucw4.com | 4195b.com | 4036333.com | www.58339.com | www.sb005.com | www.68365z.com | www.cp7836.com | 4636633.com | j5069.com | www.333222q.com | www.hg3882.com | www.ba305.com | www.08588j.com | www.150957.com | 18775i.com | df8z.com | www.246123.com | www.3398788.com | www.684544.com | 2455a.com | 88851a.com | www.pj2598.com | www.xpjylc008.com | www.hjin4.com | 3552h.com | v62.com | www.fh6000.com | www.38138a.com | www.ywzuqiu.com | kn8pe8fq.pp.163.com | 1253-2.com | www.746128.com | www.y8853.com | www.hw8889.com | wns78.com | v997c.com | www.hx3386.com | www.4809l.com | www.715585.com | 33678ee.com | 22296xx.com | www.656022.com | www.06820u.com | www.589zf.com | 11422s.com | 62877.com | www.168tyc.com | www.50989k.com | shanghaimiwena.cn | 2096k.com | www.5536kj.com | www.6889792.com | h151515.com | 5019333.com | www.492013.com | www.766777.cc | www.84499i.com | 2214v.com | www.bhhxled.com | www.37377i.com | 89892qq.com | q58955.com | www.44508.com | www.43818h.com | b999.org | 866666q.com | www.88850.com | www.52511.com | 2355e.com | 4858xianlu.com | www.477suncity.com | www.66653k.com | 7003v.com | wxyxqy.com | www.dzj0004.com | www.904857.com | 3822s.com | www.js44444.com | www.37377j.com | feicai0475.com | 66876u.com | www.98698p.com | www.768656.com | ee4119.com | www.xpj661199.com | www.81233l.com | 38989i.com | xpj66666.vip | www.pjjtzy.cc | 36518.info | 2613x.com | www.90.tt | www.621481.com | 36401188.com | www.www-48789.com | www.jcai4.com | 93936x.com | www.vns76999.com | www.12455u.com | 0812h.com | www.zun544.com | www.637968.com | www.357607.com | 22117n.com | www.82810.com | www.66ffa.com | shen5522.com | www.65884.com | www.wo41.com | 4340x.com | www.63iii.com | www.c1391.com | 01234ddd.com | www.hjcp444.com | www.848766.com | 3559ggg.com | www.97222a.com | www.656121.com | 3950s.com | www.2y931.com | www.555958.com | 33jj8331.com | www.pj88s.com | www.191060.com | 2019yy.cc | www.91779t.com | 29918uu.com | 2247zz.com | www.4996kf.com | www.wcp666888.com | 253501.com | www.0600d.cc | 749102.com | www.my1069.net | www.71595.com | 0015aa.com | www.s4042.com | www.558401.com | 702215.com | www.99553.com | 2355.com | www.929777.com | www.959122.com | 20160913.vip | www.1754v.com | 88775002.com | www.vinisi06.com | www.901573.com | 2146a.com | www.552181.com | 99772007.com | www.vip36059.com | www.703193.com | 22117s.com | www.8645004.com | love102.com | www.789pj.com | www.981095.com | 138cpwz.com | www.jjjj008.com | www.csw288.com | www.o1688.net | www.bet73j.com | b6857.com | www.xy3550.com | 8203bbb.com | www.v17888.com | www.6666y.cc | dz3666.com | www.zsjzxyy.com | 1104013.com | www.82142.com | www.022613.com | www.90866.cc | www.33112.com | 8538l.com | www.472709.com | aa412dh.com | www.9068rr.com | www.ya466.com | js11213.com | www.cb700.cc | yun555.com | www.vns6607.com | dh3868.com | www.8888883.com | www.130603.com | www.d276.com | www.846661.com | 60876.com | www.29178h.com | js8068.com | www.12136n.com | hjdc678.com | www.7415y.com | 4002.com | www.xinhao77.com | www.196902.com | www.86611c.com | www.08500w.com | 1407.am | www.97828l.vip | 3890l.com | www.690510.com | 556677882.com | www.gcw686.com | 00084066.com | www.7060.cabet186.com | www.49956o.com | www.58777c.com | www.602721.com | www.343xpj.com | www.cf9905.com | 1665ff.com | www.3890y.com | iiii19927.com | www.4833022.com | 0723.com | www.8905d.com | sbd5551.com | www.1429h1.com | bet365.com | www.47506a.com | 0332k.com | www.58908b.com | vip9923.com | www.63606a.com | 566777h.com | www.bb4625.com | 5856q.com | www.5956868.com | 8989774.com | www.910057.com | 26668f.com | www.32123r.com | 4997f.com | www.8839p.com | 0747v.com | www.51331j.com | by9911.com | www.5086c.com | www.13602477523.com | www.775706.com | www.76543y.com | www.302591.com | www.006074.com | 923.com | www.818msc.net | 1407j.com | www.9895c.com | 67890ggg.com | www.0601e.com | 8036oo.com | www.006hy.cc | www.9068rr.com | www.339713.com | www.20178548.com | 3379z.com | www.hg032.com | w2649.com | www.biying910vip.com | 550111s.com | www.954321w.com | 预览56988ee.com | www.sytg7.com | www.06bwin.com | www.082710.com | www.853789.com | g86811.com | www.86730.com | 6766zz.com | www.1035aa.com | www.717020.com | www.354977.com | www.05789.com | 4195b.com | www.o32939.com | 93910.com | www.4833022.com | 6830q.com | www.560923.com | www.600kk.com | y337.com | www.js57666.com | 057360.com | www.768639.com | www.3691t.com | r8381.com | www.168a56.com | feicai0411.com | www.568001.com | www.hg7329.com | 1043.com | www.37377s.com | mm5443.com | www.631259.com | www.166347.com | vns700.net | www.5856861.com | P35jj.com | www.175901.com | www.gd35155.com | 4465c.com | www.3478a.cc | www.jw2299.com | 2381r.com | www.16065k.com | www.xjs8880.com | 8cai29.com | www.19019r.com | 4556h.com | www.34788s.com | www.4625k.com | 2222k26.com | www.38775rr.com | 2649nn.com | www.77801v.com | www.04567l.com | cc1915.com | www.907712.com | www.pj9666.com | www.66yfa.com | www.amxhtd11.com | z14666.com | www.yh33566.com | vn258.com | www.0600v.cc | bet99336.com | www.77802u.com | www.5099rr.com | 50067c.com | www.599457.com | www.20199bb.com | 2824.cc | www.635918.com | www.5504p.com | a2146.com | www.358268.com | www.y32939.com | yth22.net | www.84499o.com | www.n1432.com | bb888855.com | www.43131m.com | www.4212n.com | 8547xx.com | www.78949i.com | www.553191.com | 2007811.com | v1781.com | www.93gj06.com | www.67797q.com | 7736o.com | www.5854z.cc | www.www-737475.com | 66681k.com | www.550314.com | www.4694z.com | x33b.vip | www.80065e.com | www.245252.com | www.pu5555.net | 38238d.com | www.60007w.com | www.556644.cc | 2685a.com | www.375477.com | www.45598h.com | www.pj57777.com | bb5360.com | www.6661b.cc | www.7111e.com | h2146.com | www.151880.com | www.2544g5.com | www.js72999.com | 16630.com | www.5095q.com | www.865599.com | qq365u.com | 5456r.com | www.hg1177.com | www.hg4480.com | 08159o.com | 3616d.com | www.36581111.com | www.wp9977.com | o58955.com | www.040426.com | www.0600i.cc | www.55scweb.com | lh66c.com | www.498266.com | www.97994f.com | www.7893w50.com | 36402244.com | www.77114e.com | www.9996rr.com | www.f88yule9.com | 8xh.vip | 3568mm.com | www.8499f.com | www.998855q.com | 500000917.com | 18299.com | www.6364h.com | www.365033.bet | www.kim217.com | 2147006.com | www.319989.com | www.961865.com | www.553525.com | 26444q.com | x0066.tv | www.927133.com | www.9170106.com | www.lb0011.com | 91019.com | www.49956v.com | www.365101.com | www.dzcp5555.com | www.546005.com | swtyooo.com | tt6839.com | www.8667r.com | www.5981h.com | www.3643h.com | 61324444.com | lj552.com | www.5854s.cc | www.b35xx.com | www.yinhecc00.com | tt40033.com | jnhpjx.com | www.ck7686.com | www.86339a.com | www.65884.com | 7736w.com | 91019s.com | 998j.cc | www.gai20.com | www.xj7008.com | www.ylzz4440.com | 8003aa.com | 7196z.com | www.738070.com | www.5952122.com | www.557116.com | www.56520x.com | 35hh.vip | youleseo.com | 0906vip2.com | www.hy6932.com | www.hg82678.com | www.yiyao12.com | 4466.so | js89w.vip | ff555g.com | www.fyyy3.com | www.0343p.com | www.bd2019e.com | www.v456456.com | 50000023.com | a1915.com | 78116655.com | www.257588.com | www.26163d.com | www.9997018.com | www.kjjg.net | www.bjd333.com | n3410.com | 66066o.com | www.107186.com | www.022w.cc | www.yh6699.bet | www.604886.com | www.60582.com | www.wn0003.com | c7742.com | 22225002.com | hrbbdyy.com | www.cp3158.com | www.048181.com | www.s69096.com | www.122.hk | www.a22365.com | 26444o.com | 3552m.com | 3242s.com | 54141144.com | www.983003.com | www.ykylc02.com | www.5446hh.com | www.31229.com | www.hg5455.com | 66772007.com | ks600.net | 3467i.com | 3202d.com | www.170882.com | www.935970.com | www.36585555.com | www.06820z.com | www.2011.vip | www.443709.com | www.68666y.com | 5504y.com | bet727.com | u8381.com | 728eee.com | 1775hh.com | www.343133.com | www.35918w.com | www.5282288.com | www.0066xpj.net | www.397888b.com | www.3xh3.com | www.mgm006.com | www.bmw9964.com | 3169f.com | a6622.com | 7052004.com | 2223847.com | 8827jjj.com | l62365.com | www.898134.com | www.99849.cc | www.6678573.com | www.30350o.com | www.55060k.com | www.ggv.99233v.com | www.42423499.com | www.286688.com | www.511111.com | www.879nn.com | www.yl00444.com | 88535d.com | 500000719.com | 4018i.com | 9123567.com | 8557k.com | 1356.com | 5003ss.com | 1449b.com | s4048eee.com | 22hh8332.com | www.178571.com | www.557089.com | www.gai57.com | www.50026h.com | www.83033m.com | www.26163e.com | www.hg6767b.com | www.yun873.com | www.99080088.com | www.7880.com | www.sx139973.com | www.993956.com | www.9187j.com | www.161184.com | www.56730.cc | www.10999x.com | www.444jyh.com | www.jz6788.com | www.h92776.com | www.799666i.com | www.566846.com | www.878msc.com | www.yh44777.com | www.vv2649.com | www.77288ii.com | www.hg3988.com | www.922646.com | www.76775j.com | www.ylg134.com | www.373365.com | www.23699u.com | www.sb8841.com | www.001481.com | www.233449.com | www.qmc0088.com | www.bd2019z.com | www.9737ww.me | www.7225i.com | www.109007.com | www.69567d.com | www.xpj77123.com | www.52062d.com | www.gg4625.com | www.89777z.com | www.150158.com | www.50989g.com | www.5522g.cc | www.976550.com | www.858399.com | www.822138.com | www.547677.com | www.335294.com | www.178385.com | JS1388a.com | 91019k.com | 138.am | 67890ddd.com | 92266J.com | 3566ll.com | 1381.net | 747720.com | 97618h.com | www.76060g.com | www.287720.com | www.vb003.com | www.n9163.com | www.msc128.com | www.365011.bet | www.ba308.com | www.60wb.top | www.2588cai.com | www.628846.com | www.508533.com | www.53900a.com | 22662007.com | 6868pp.cc | 78666t.com | hubo8.cc | 22207t.com | www.xpj88005.com | www.mgdc48.com | www.3396877.com | www.32678.cc | www.699679.com | www.51515j.com | www.744646.com | 35tt.vip | 205235.com | 992222m.com | vip3144.co | vns88.com | www.9068ee.com | www.493hd.com | www.99113e.com | www.7249z.com | www.26299q.com | www.596353.com | 8018522.com | 1408q.com | 80892mm.com | 23599m.com | 8036w.com | www.0860g.com | www.rb568.com | www.9170105.com | www.12345601.cc | www.55228d.com | www.599046.com | 2418h.com | 3304f.com | zhcp05.com | www.223456s.com | www.987125.com | www.4996kf.com | www.85144aa.com | www.805835.com | jnh91.com | 81366i.com | 9339999p.com | www.hg0533.com | www.071095.com | www.bet63v.com | www.4323c.com | www.632590.com | 30006r.com | hb99402.com | 228888g.com | www.c4737.com | www.zte333.com | www.833bbb.com | www.c9332.com | www.71399u.com | 6063331.com | vip4357.com | 748.net | www.x8882.com | www.9464002.com | www.95wcp.com | www.0011hg.com | www.4965b.com | www.06387744.com | www.00840p.com | www.331616.com | j15gg.com | 9995n.cc | www.hg763.com | www.650391.com | www.33997x.com | www.296180.com | zoudayun88.com | jbb71.cc | www.h22365.com | www.4963ss.com | www.3978v.com | www.659789.com | 3mgmooo.com | 5309x.com | www.1423kkk.com | www.45598i.com | www.62355.com | www.126509.com | jixiangfang.com | m3144.com | www.js1108.com | www.9971i.com | www.767387.com | 66458k.com | 4590b.com | www.9996jj.com | www.6776ff.com | www.34788j.com | 1588hg.com | tzvip2022.com | 78114400.com | www.138cpq.com | www.57578h.com | 55818v.com | 21549.com | www.8767700.com | www.2945m.com | www.hg785.com | www.77802i.com | 7681006.com | 8827nnn.com | www.77099.com | www.97828q.vip | www.330817.com | 5589g.com | www.033033p.com | www.fh70.com | www.86079.cc | 6869822.com | 06389797.com | www.xpj787.com | www.380820.com | www.710930.com | hjdc678.com | www.876445.com | www.4136y.com | www.fen09.com | 3178k.com | 3700988.com | www.hg8452.com | www.bj2222.com | sxlwl.net | 2222k7.com | www.60778.com | www.52062u.com | www.209918.com | 73730524.com | www.j7700.com | www.h69096.com | www.843633.com | 048p.com | www.9846k.com | www.55526p.com | www.69465.com | jinshabb.com | 2267y.com | www.15786.com | www.34788k.com | 1654z.com | 5369a.com | www.85857n.com | www.9356l.com | 3614h.com | 59889y.com | www.98923.com | www.81678g.com | 555vn77.com | xl224.com | www.cpdjl.com | www.zc35.com | pjshanghai.com | www.32126t.net | www.91779p.com | www.504733.com | 3678uu.com | www.88021ii.com | www.89777u.com | 4270ss.com | 55545n.com | www.4646111.com | www.23636n.com | jinlong01.com | qycp04.com | www.4694y.com | www.544559.com | 100404.com | www.7025j.com | www.156a56.com | 66888web.com | 11rr8332.com | www.0057a.com | www.810519.com | 62077.net | www.hg486.com | www.83033w.com | 55331yy.com | 496677.com | www.6687.com | df6258.com | 8977ss.com | www.40hga.com | www.386918.com | 93922g.com | www.3362msc.com | www.996563.com | 66458y.com | www.55268xx.com | www.868557.com | 478.com | www.6666wnsr.com | www.44118y.com | P35oo.com | 3hmh9f.cn | www.99552ii.com | 86811n.com | 26444o.com | www.351532.com | www.186769.com | 77332007.com | www.8473p.com | www.203552.com | 2381dd.com | www.00778y.com | www.175904.com | 85698x.com | www.hg173b.com | www.544095.com | 78365.com | www.328209.com | www.207881.com | 500000830.com | www.7225a.com | zhcp74.com | www.88hggj.com | www.www014678.com | 1110099.com | www.r30226.com | www.5647q.com | giscrocodile.com | www.61515g.com | www.26878g.com | hbs480.com | www.697799a.com | www.838552.com | 67877h.com | www.baifucp.com | www.137103.com | vns8vip.com | www.2418b.com | 7720742.com | www.vic040.com | www.401274.com | 233235.com | www.4828.com | 25288h.com | www.hf8855.com | www.371679.com | lc4343g.com | www.ya2019n.com | 0038633.com | www.911955.com | www.316477.com | 83377h.com | www.151019.com | 3435z.com | www.11c668.com | zzc88.com | www.sky788.com | www.9181.cc | hg77740.com | www.ks2.com | 15856r.com | www.hg005.com | www.229958.com | 5647oo.com | www.84499j.com | 9506n.com | www.4996gl.com | 390390.com | www.872878.com | www.338017.com | www.6666xj.com | www.8839f.com | 3522kk.cc | www.ag3388.com | vv40033.com | www.t456x.com | 2544b1.com | www.pujing222.com | www.375477.com | www.gh0030.com | www.509866.com | 3189vv.com | www.68993236.com | pj00qq.com | www.63606q.com | j5756.com | www.85857u.com | 22294411.com | www.4270nn.com | www.233434.com | www.39695d.com | www.828701.com | 99066555.com | www.3416i.com | 3121uu.com | www.222067.com | tcdtf.com | www.36584444.com | ww8159.cc | www.44118f.com | 0289a.com | www.97cp345.com | 3405ddd.com | www.552318.com | 5006811.com | www.138ppp.com | www.081502.com | www.hongbaoy35.com | www.330671.com | www.3643u.com | www.340477.com | www.bet3650514.com | www.768639.com | www.vns0n0.com | www.912486.com | 1407v.com | www.989774.com | www.ylg777555.com | www.hx1161.com | www.sjg900.com | www.899485.com | pj666677.com | www.2kc.com | www.68666g.com | www.898364.com | www.hg990033.com | www.609716.com | www.4972zz.com | www.582993.com | www.sb84.com | www.84499i.com | www.66300e.com | 98955c.com | www.319393a.com | 3467n.am | www.025sunbet.com | tyc.com | www.4972b.com | 86811ll.com | www.1754r.com | 8988222.com | www.81608c.com | dfst688.com | www.77803y.com | 3089o.com | www.961339.com | www.pj99997.com | www.493552.com | www.006091.com | 500000730.com | www.l4042.com | 1211.cc | www.33678ii.com | ggg1915.com | www.16065u.com | 20611.net | www.936317.com | www.bmw9964.com | www.573477.com |